Cornand G, Doury J C
Med Trop (Mars). 1981 Mar-Apr;41(2):157-71.
Trachomatous tarsitis is characterized by personal criteria the development of a fibrous and retractile scar tissue inducing cirrhosis with static and hemodynamic changes of the eye lid: lesions of the ciliary stratum, entropion and trichiasis which in their turn give a range of conjunctivocorneal complications, the ultimate stage being xerosis and blindness. To avoid this kind of evolution some easy surgical technics are available. The option between them is mainly oriented by personal criteria and the following pattern may be proposed: -- For upper lid, in regard to degree of tarsis hypertrophy, either Trabut's tarsotomy, or Streatfield-Snellen's tarsectomy, or a joint intervention of Cuenod and Nataf, might be selected. -- For lower lid and in children, the Trabut's transconjunctival tarsotomy is recommended. -- In relapsing cases and when trichiasis prevails over entropion, Van Millingen's marginoplasty will give satisfactory results.
沙眼性睑炎的特征是出现纤维性和可收缩的瘢痕组织，导致睑部硬化并伴有眼睑的静态和血流动力学改变：睫状层病变、睑内翻和倒睫，进而引发一系列结膜角膜并发症，最终阶段为角膜干燥和失明。为避免这种病情发展，有一些简单的手术技巧可供选择。选择何种手术主要依据个人标准，可参考以下模式：——对于上睑，根据睑板肥厚程度，可选择特拉布睑板切开术、斯特里特菲尔德 - 斯内伦睑板切除术，或屈诺德和纳塔夫联合手术。——对于下睑及儿童，推荐特拉布经结膜睑板切开术。——在复发病例中，当倒睫比睑内翻更严重时，范·米林根缘膜成形术将取得满意效果。
